Marissa Jane Nelson
Nurse Practitioner, Gerontology in Whittier, CA. Individual provider (NPI-1).
NPI number1366072340
StatusActive
Last updated in NPPESJan 18, 2020
Details
- NPI
- 1366072340
- Entity type
- Individual (NPI-1)
- Name
- Marissa Jane Nelson
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 18, 2020
- Certification date
- Jan 18, 2020
- Last updated
- Jan 18, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LG0600X | Nurse Practitioner, Gerontology | 95013405 | CA | Yes |
Practice location
8704 La Entrada AveWhittier, CA 90605-1608
Phone 562-322-6574
Mailing address
8704 La Entrada AveWhittier, CA 90605-1608
Phone 562-322-6574
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Gerontology Nurse Practitioner providers in Whittier, CA
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